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通过参与昆山“8·2”爆炸事故烧伤伤员(分流至南京军区南京总医院)救治,笔者认为:多学科协助能为烧伤治疗提供更多手段和方法,进一步提高大面积严重烧伤伤员救治的成功率;严重烧伤早期应用连续肾脏替代疗法(CRRT)能稳定内环境、清除炎症介质,效果显著;在大面积严重烧伤伤员的救治中,特别在缺少活性良好的液氮异体皮的情况下,Meek植皮效果稳定可靠;泛耐药和全耐药鲍曼不动杆菌感染的防治形势依然严峻。针对这些问题,笔者作一论述。
By participating in the Kunshan “8 · 2” explosion casualties (divided to the Nanjing Military Region Nanjing General Hospital) treatment, the author believes that: multidisciplinary assistance can provide more means for burn treatment and methods to further improve the treatment of large areas of severe burn injuries . The success rate of CRRT in severe burn early application can stabilize the internal environment and clear the inflammatory mediators with significant effect. In the treatment of large-scale severe burn injuries, especially in the absence of well-functioning liquid nitrogen allogeneic skins , Meek skin grafting effect is stable and reliable; Pan-resistant and resistant drug-resistant Acinetobacter baumannii infection prevention and treatment situation is still grim. In response to these issues, I make a discussion.